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KMID : 0370819920070010083
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Yonsei Journal Dental Science
1992 Volume.7 No. 1 p.83 ~ p.92
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AN ANALYSIS OF PROBLEMS FOUND DURING BODY CONDITION EVALUATION OF DENTAL PATIENTS WHO SUED AFTER CAR ACCIDENTS
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Abstract
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Dental injuries caused by car accidents have rapidly increased in the last few years. Nevertheless, decisions on compensation for the injuried parties and determinations of fault are difficult in many cases, and McBride's graded disability rating
chart
is not so useful in cases of dental injury. On the basis of medical accidents that brought civil suit for the sake of compensation, analysis of diagnoses written by the first dental examiner, comparisons of injuries from car accidents according
to
the
type and severity, and research on the ratio of workability loss were carried out to determine the importance of dental injuries in medical law suits. It is hoped that such studies would prove that the method of calculating workability used in
the
general medical field is not adequate for the dental field, and show what adjustments are necessary.
The subjects chosen for the studies were 201 injuried patients, who visited the Department of Oral Diagnosis at Yonsei university Dental Hospital for body condition evaluation, of the people who brought a civil suit seeking compensation after car
accidents that occured from during the period of <1/90-12/91>.
1. Car accidents happened much more frequently to men(78.61%) than women(21.39%), and the age group between 20 and 30 years showed the highest incidence of car accidents.
2. Maxillary injury occurred more frequently, with the ratio of maxillary to mandibular damage, 1.5 to 1.
Maxillary anterior teeth were involved most frequently, with 417 cases.
3. The cases of tooth avulsion were of the highest incidence, with 302 cases.
4. Of the jaw fracture cases, the mandibular symphisis area was involved most frequently, with 21 cases.
5. Among the 201 cases that were diagnosed as tooth and/or jaw injuries by the first dental examiner, 23 showed misdiagnosis. In 12 cases, the injury was recorde as having happened on the wrong side. In 5cases, the incorrect jaw was recored, and
in 6
cases, tooth and/or jaw injury was not noticed.
6. The international disease classification number was not recorded in 154 cases(76.6%) ; the diagnostic names according to the international disease classification were not used in 92 cases(45.8%) ; the cause of injury was not recorded in 163
cases(81.1%) ; impression on the progress made by patients was not recorded in 68 cases(33.8%) ; the time needed for the treatment is not recorded in 93 cases(46.3%) ; comments on further care are not recorded in 55 cases(27.4%) ; and the
possibility of
complications was not mentioned in 118 cases(58.7%).
7. The workability loss rates by the National Compensation Law were 5% in 69 cases(34.3%), 15% in 55 cases(37.4%), 30% in 40 cases(19.9%), and 0% in 33 cases(16.4%).
In no cases were shown 60%, 70%, or 100% loss rates.
8. Only 3 cases out of 201 cases fell under McBride's workability loss rate chart.
From the results obtained, it can be concluded that special attention is necessary in writing out a diagnosis, and also, further study to set up disability degrees suited for dental injuries is necessary.
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